Rules & Regulations of the State of Tennessee
Title 1240 - Human Services
Subtitle 1240-02 - Child Support Services Division
Chapter 1240-02-02 - Forms for Withholding of Income for Child Support
Section 1240-02-02-.11 - AFFIDAVIT OF ARREARAGE
Current through September 24, 2024
(1) The Affidavit form in Paragraph (2) shall be completed by the custodial parent, the guardian, or other caretaker of the child and shall be used by the Clerk of the Court or by the Department of Human Services or its contractor for the purpose of supporting the issuance of an Income Withholding for Support (Order for Income Assignment) pursuant to Rule 1240-02-02-.04. It will only be used in conjunction with the request of a custodial parent, a guardian, or other caretaker to whom child or spousal support was previously paid directly, because no Order for Income Assignment had been issued, for any reason, when the obligor of support is now alleged to be in arrears in the affidavit filed by the custodial parent, the guardian, or other caretaker of the child.
(2) Form:
STATE OF TENNESSEE
STATE OF TENNESSEE
COUNTY OF __________________
AFFIDAVIT OF ARREARAGE
First being duly sworn, affiant would state:
Authority: T.C.A. §§ 4-5-202, 36-5-501, 71-1-132(c), 42 U.S.C. §§651 et seq., 42 U.S.C. §§652(a)(11), 654(9)(E), 654a(g)(1)(A)(ii) and 666(a)(8) and (b), 45 C.F.R. §§303.6(c)(1), 303.7, and 303.100.
